Francesco/who-killed-jfk huggingface dataset:
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SEC. II. WORK EXPERIENCE (CONT'D)3. Special Work Experience: Check any of the following organizations by which you may have been employed.01 U.S. Secret Service02 Civil Police03 Military Police04 U. S. Border Patrol05 U.S. Narcotics Squad06 FBI07 Criminal Investigation Div.21 Office of Naval Intelligence22 Office of War Information23 Army G-220 Office of Strategic Services24 Air Force A-225 Foreign Economic Admin.26 Counter Intelligence Corps27 Immigration & Naturalization28 Strategic Services Unit29 Foreign Service, State Dept.30 Central Intelligence Group31 Armed Forces Security Agency32 Coordinator of Information33 Office of Facts & Figures34 Board of Economic Warfare35 Federal Communications Comm.SEC. III. FOREIGN LANGUAGESList below the foreign languages in which you have some competence. Be sure to include uncommon modern languages. Check (X) your competence and how acquired.| LANGUAGE |          COMPETENCE          |      HOW ACQUIRED       |     |     |     |     || -------- | :--------------------------: | :---------------------: | --- | --- | --- | --- ||          | Equivalent to Native Fluency |    Native of Country    |     |     |     |     ||          | Fluen: but obviously Foreign |   Prolonged Residence   |     |     |     |     ||          |   Adequate for Research **   | Contact (Parents, etc.) |     |     |     |     ||          |     Adequate for Travel      |        Academic         |     |     |     |     ||          |      Limited Knowledge       |          Study          |     |     |     |     || French   |                              |                         |     |     |     |     || Spanish  |                              |                         |     |     |     |     |* If you have checked 'Fluent' for a language that has significant difference in spoken and written form (e.g., Arabic), explain your competence herein**Specialized Language Competence: Describe ability to do specialized language work involving vocabularies and terminology in the scientific, engineering, telecommual- cations, and military fields, List the language with the type of speciality.
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# SEC. IV. AREA KNOWLEDGE1. List below any foreign countries or regions of which you have knowledge gained as a result of residence, travel or study. Study can mean either academic study, or study of a foreign country resulting from an intelligence, military, commercial or professional work assignment.| Country or Region | Dates of Residence, Study Etc. | Manner in Which Knowledge Was Aquired (check (X) one) || ----------------- | ------------------------------ | ----------------------------------------------------- ||                   |                                | Residence Travel Study                                ||                   |                                |                                                       ||                   |                                |                                                       ||                   |                                |                                                       |2. Specialized Knowledge of Area   List specialized knowledge of foreign country such as knowledge of terrain, coasts and harbors, utilities, railroads, industries, political parties, etc. gained as a result of study or work assignment. Include name of employer or organization.| Country | Type of Knowledge | How and When Gained || ------- | ----------------- | ------------------- ||         |                   |                     ||         |                   |                     ||         |                   |                     ||         |                   |                     |# SEC. V. TYPING AND STENOGRAPHIC SKILLS (PRESENT UTILIZATION)| Skill             | Per Cent of Time Used | Not Used   | WPM (Approximate Proficiency) | Prefer Assignment Using Skill Oftener || ----------------- | --------------------- | ---------- | ----------------------------- | ------------------------------------- || Typing            | 1. 5                  | 2.         | 50                            | 1. Yes 2. No                          || Shorthand         | 1.                    | 2.         | 30                            | 1. Yes 2. No                          || Shorthand System: | 1. Manual             | 2. Machine | 3. Speedwriting.              |                                       |# SEC. VI. LICENSES, HOBBIES, SPECIAL QUALIFICATIONS1. Licenses: List any licenses or certifications such as teachers, pilot, marine, etc.2. Hobbies: List any hobbies such as sailing, skiing, writing, or other special qualifications.# SEC. VII. PROFESSIONAL AND ACADEMIC HONORSList any professional or academic associations or honorary societies in which you hold membership.5
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SEC. VIII. PUBLICATIONSList below the type of writing (non-fiction: professional or scientific articles, general interest subjects, current events, etc; fiction: novels, short stories,etc.) of any published materials of which you were author or co-author.SEC. IX. INVENTIONSDescribe any devices you have invented as to type of work for which intended and whether patented.| Device | Patented       || ------ | -------------- ||        | (1) Yes (2) No ||        | (1) Yes (2) No ||        | (1) Yes (2) No |SEC. X. TESTS (Within present organization)Describe below the type of tests which you have taken,| Type of Test | Date Taken || ------------ | ---------- ||              |            ||              |            ||              |            |SEC. XI. PHYSICAL HANDICAPSList any physical handicaps you may have.SEC. XI. OVERSEAS ASSIGNMENTAre you willing to accept periodic tour of duty overseas?(1) 2 year Tour ✓ (2) 4 year Tour (3) Not interestedSEC. XIII. WORK ASSIGNMENTIn view of your total experience and education, for what assignment do you think you are best qualified?
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## SEC. XIV. MILITARY STATUS1. Present Draft Status   Have you registered under the Selective Service Act of 1948? Yes No.   If yes, indicate your present draft classification 4-42. Present Reserve or National Guard Status   Do you now have Reserve or National Guard Status Yes No.   If yes, complete the following.   1. National Guard   2. Air National Guard   3. Active Reserve Status (member of organized unit)   4. ✓ Inactive Reserve Status   Service USNAL RESERVE Grade LOC Serial Number 514838   Reserve Unit with which currently affiliated ADMIN N/Y - CONVISE   Service Mobilization Assignment, if any   Location of Service Records, if known JUS UNDI RESONG OFFCER CNTR, DAMA NO. 2) H.Q. COMNDLT 9TH and District, GT. My## SEC. XV. TRAININGList the training courses or subjects you have taken in this organization.| Course or Subject | (from) Dates | (to) | Hours || ----------------- | ------------ | ---- | ----- ||                   |              |      |       ||                   |              |      |       ||                   |              |      |       ||                   |              |      |       ||                   |              |      |       ||                   |              |      |       |## SEC. XVI. REMARKSUse this space to indicate any other qualifications you may have which you do not describe above.DATE 24 May 1972SIGNATURE7
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# APPOINTMENT AFFIDAVITSIMPORTANT.--Before swearing to these appointment affidavits, you should read and understand the attached information for appointee.CENTRAL INTELLIGENCE AGENCY Washington, D.C.I, THOMAS L. KEENAN do solemnly swear (or affirm) that-## A. OATH OF OFFICEI will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely without any mental reservation or purpose of evasion; that I will well and faithfully discharge the duties of the office on which I am about to enter, SO HELP ME GOD.## B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY AND AFFILIATIONI am not a Communist or Fascist. I do not advocate nor am I knowingly a member of any organization that advocates the overthrow of the constitutional form of the Government of the United States, or which seeks by force or violence to deny other persons their rights under the Constitution of the United States. I do further swear (or affirm) that I will not so advocate, nor will I knowingly become a member of such organization during the period that I am an employee of the Federal Government or any agency thereof.## C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENTI am not participating in any strike against the Government of the United States or any agency thereof, and I will not so participate while an employee of the Government of the United States or any agency thereof. I do not and will not assert the right to strike against the Government of the United States or any agency thereof while an employee of the Government of the United States or any agency thereof. I do further swear (or affirm) that I am not knowingly a member of an organization of Government employees that asserts the right to strike against the Government of the United States or any agency thereof and I will not, while an employee of the Government of the United States or any agency thereof, knowingly become a member of such an organization.## D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICEI have not, nor has anyone acting in my behalf, given, transferred, promised or paid any consideration for or in expectation or hope of receiving assistance in securing such appointment.## E. AFFIDAVIT AS TO DECLARATION OF APPOINTEEThe answers given in the Declaration of Appointee on the reverse of this form are true and correct.20. May 1957Subscribed and sworn before me this 20th day of May A. D. 19. 57at Washington, D.C.
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# STATEMENT OF PRIOR FEDERAL, ILIAN AND MILITARY SERVICE AND DETERMINATION OF COMPETITIVE STATUSIMPORTANT: The information on this form will be used (1) in determining creditable service for leave purposes and retention credits for reduction in force, and (2) in recording agency determination of competitive status. The employee should complete Part I and the Personnel Office should complete Parts II through V.PART I - EMPLOYEE'S STATEMENT1. NAME (Last, First, middle initial)KEENN THOMAS J2. DATE OF BIRTH29 JUNE 19303. LIST THE FOLLOWING INFORMATION CONCERNING ALL FEDERAL AND DISTRICT OF COLUMBIA SERVICE YOU HAVE HAD PRIOR TO YOUR PRESENT APPOINTMENT (Do not include military service).NAME AND LOCATION OF AGENCYFROMYEAR MONTH DAYTOYEAR MONTH DAYTYPE OF APPOINTMENT IF KNOWN11. SERVICEYEAR MONTH DAYSCDJan. 19, 195456 10 3253 7 124. LIST PERIODS OF ACTIVE SERVICE IN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES: IF YOU HAD NO ACTIVE MILITARY SERVICE, WRITE "NONE."BRANCHFROMTODISCHARGE(Hon. or dishon.?)YEAR MONTH DAY YEAR MONTH DAYU.S. Navy1953 July 12 1956 Nov 11NON.DD-214 Active3 04 015. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3, DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE WITHOUT PAY, INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR? ☐ YES ☑ NO   IF ANSWER IS "YES," LIST FOLLOWING INFORMATION.TYPE IF KNOWN(LWOP, Fucl, Susp, AWOL, Mos Mar)FROMTOTOTALYEAR MONTH DAY YEAR MONTH DAY YEARS MONTHS DAYS6. DURING THE FEDERAL SERVICE LISTED IN ITEM 3, DID YOU ACQUIRE A PERMANENT COMPETITIVE CIVIL SERVICE STATUS?☐ YES ☑ NO(If answer is "Yes," in what agency were you employed at the time status was acquired?)7. ARE YOU:A. THE WIFE OF A DISABLED VETERAN? ☐ YES ☑ NOB. THE MOTHER OF A DECEASED OR (DISABLED) VETERAN? ☐ YES ☑ NOC. THE UNREMARRIED WIDOW OF A VETERAN? ☐ YES ☑ NO8. TO BE EXECUTED BEFORE A NOTARY PUBLIC OR OTHER PERSONS AUTHORIZED TO ADMINISTER OATHS.I swear (or affirm) that the above statements are true to the best of my knowledge and belief.20 May 1957(DATE)Subscribed and sworn to before me on this 20th day of May 1957 at Washington, D.C..(MONTH)(CITY)(STATE)SEALNOTE: If oath is taken before a Notary Public, the date of expiration of his Commission should be shown.INSTRUCTIONS: File this form on the personnel side of the employee's official personnel folder immediately before or after the personnel action involved.
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# SECRETMEMORANDUM FOR: THOMAS J. KEENANSUBJECT: Credit Reference1. You are advised that the position for which you have been hired is of a sensitive nature and that YOU ARE NOT TO IDENTIFY YOURSELF WITH THIS AGENCY for credit reference or for any other purpose.2. You are to disregard that portion of the Monday morning Personnel EOD Orientation and the Thursday afternoon Security Introduction which authorizes certain personnel to identify themselves with this Agency, when necessary, for credit, rental agreement, and like purposes.3. You will be advised by your Placement Officer as to the cover information necessary for proper job identification. If at any time cover difficulties are encountered you may arrange an appointment through your Placement Officer to use the Security Officer responsible for your activity.![signature of G. M. Stewart]G. M. STEWARTDirector of PersonnelI have read the above and understand that I am not to associate myself with the Central Intelligence Agency for credit reference or for any other purpose.![signature of Thomas J. Keenan]20 May 1152
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# C-O-N-F-I-D-E-N-T-I-A-L## Testing Secrecy AgreementI shall be participating in a testing program administered by the National Security Agency (NSA). I understand that other government agencies, including the Central Intelligence Agency (CIA), are associated with the NSA testing program and that this information is not for public use. Therefore, I agree to the following conditions with regard to this testing:1.  I will not divulge or reveal under any circumstances whatsoever any information with respect to testing procedures of CIA. Such information will include, but will not be limited to, the types and contents of tests and questionnaires, and information disclosed by examiners.2.  I will not reveal the fact that CIA is associated with the NSA testing program. I will not mention the name of the Central Intelligence Agency or any part of its program to the examiner or to any other person, including those participating in the testing. (The examiner is not a CIA official.)3.  If I am asked by a CIA official whether I have been tested, I will indicate only the date and purpose of the testing.4.  If inquiry is made by anyone other than a CIA official, I will give no information whatsoever about testing procedures. I will not even mention the fact that I signed this agreement.5.  If I am asked what government agencies I am being tested for, I will reveal only that I took the NSA tests.6.  This agreement is perpetually binding whether or not I am employed by CIA.![Signature of Agreement]26 / / 1957![Date]C-O-N-F-I-D-E-N-T-I-A-L
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## SECRECY AGREEMENTDate 19561.  I am aware of the fact that the Central Intelligence Agency by reason of the sensitive nature of its work, must observe very strict security measures.2.  I agree to honor the requests of the Central Intelligence Agency relative to my application for employment or rendition of services whether it be accepted or rejected.3.  I agree not to inform anyone that I am being considered for a position in the Central Intelligence Agency, unless specifically authorized by a representative of the Central Intelligence Agency.4.  I agree not to disclose processing procedures I have observed in the Central Intelligence Agency.5.  I agree not to discuss by name or otherwise, any individuals with whom I have talked in the course of my application for employment to the Contral Intelligence Agency.SignatureWitness
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SECRET(When Filled In)# REQUEST FOR MEDICAL EVALUATION1. DATE OF REQUEST21 June 19762. NAME (Last, First, Middle)Koonan, Thomas J. 29(303. POSITION TITLEOps Officer4. GRADEGS-155. OFFICE. DIVISION BRANCH   DDO/LA/M.CAM6. EMPLOYEE'S EXT.73757. PURPOSE OF EVALUATION*   PRE-EMPLOYMENT*   ENTRANCE ON DUTY*   [XX] TOY STANDBY*   SPECIAL TRAINING*   ANNUAL*   RETURN TO DUTY*   FITNESS FOR DUTY*   MEDICAL RETIREMENT*   HDOQ/TOY*   OVERSEAS ASSIGNMENT    ETO    STATION    TOY OR PCS    TYPE OF COVER    NO. OF DEPENDENTS TO ACCOMPANY    NO. OF DEPENDENTS REPORTS OF MEDICAL HISTORY ATTACHED*   RETURN FROM OVERSEAS    ETA    STATION    NO. OF DEP'S8. OVERSEAS PLANNING EVALUATION (One block must be checked)*   YES*   NO9. REQUESTING OFFICERKathy HillROOM NO. & BUILDINGKathy Hill, LA/TrngEXT.303113 Hqs527010. COMMENTS11. REPORT OF EVALUATIONQualified for TDY Standby until 1 July 1978.DATE6 August 1976SIGNATURE FOR CHIEF OF MEDICAL STAFFHarry C. Gordon, OMS/RegistrarFORM054 259 USE PREVIOUSEDITIONSSECRET
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SECRET1. NAME (Lost, First, Middle)Acenan, Thomas J.2. DATE OF BIRTH29 June 19303. GRADEGS 144. OFFICE, DIVISION, BRANCH (or overseas station and existing cover if lateral assignment)BL/ Lima5. PRESENT POSITION6. EMPLOYEE EXTENSION68157. PROPOSED STATIONBH/ Kingston, Jamaica8. PROPOSED POSITION (Title, Number, Grade)COS 066, GS 149. TYPE OF COVER AT NEW STATIONState - Integra S-26-399110. ESTIMATED DATE OF DEPARTURE1 Sept 197311. NO. OF DEPENDENTS TO ACCOMPANYSeven13. DATE OF REQUEST26 July 197314. SIGNATURE OF REQUESTING OFFICIALJo Torres15. ROOM NUMBER AND BUILDING3D631716. EXTENSION681517. OFFICE OF MEDICAL SERVICES DISPOSITIONQualified overseas PCS.23 October 1973 William T. Golder, OMS/pro18. OFFICE OF SECURITY DISPOSITION19. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITIONREQUEST FOR PCS OVERSEAS EVALUATIONSECRET
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SECRET1. NAME (Last, First, Middle) 398-36-2001   Keenan, Thomas J.4. OFFICE, DIVISION, BRANCH (or overseas station and 5. PRESENT POSITION 6. EMPLOYEE EXTENSION   existing cover if lateral assignment)   DDP/WH/Bogota State   Ops officer 74317. PROPOSED STATION 8. PROPOSED POSITION (Title, Number, Grade)   Lima, Peru   Ops Off DCOS/0138/0S-149. TYPE OF COVER AT NEW STATION 10. ESTIMATED DATE OF 11. NO. OF DEPENDENTS TO   DEPARTURE ACCOMPANY   State   Oct 71   seven (7)12. COMMENTS    Vice: Charles Dickens    Physical will be taken in the field and results forwarded to Hqs.    Mr. Keenan's tested Spanish language proficiency of Intermediate    Reading and Elementary Speaking meets the general language    requirement of the Station.13. DATE OF REQUEST 14. SIGNATURE OF REQUESTING OFFICIAL 15. ROOM NUMBER AND BUILDING 16 EXTENSION    19 Mar 71 Joan Wright 3D 5309 Hqs 743117. OFFICE QUALIFIED OVERSEAS PCS    12 May 1971 Peter Zrowka. CMS/pro18. OFFICE OF SECURITY DISPOSITION19. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITIONREQUEST FOR PCS OVERSEAS EVALUATION
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# SECRETREQUEST FOR MEDICAL EVALUATION2. NAME (Last, First, Middle)   KEENAN, Thomas J.5. OFFICE, DIVISION, BRANCH   DDP/WII/3/Bogota.7. PURPOSE OF EVALUATION[] PRE-EMPLOYMENT[] ENTRANCE ON DUTY[] TOY STANDSY[] SPECIAL TRAINING[] ANNUAL[] RETURN TO DUTY[] FITNESS FOR DUTY[] MEDICAL RETIREMENT06 13 638. OVERSEAS PLANNING EVALUATION (One block must be checked)[x] YES[] NO:3. DATE OF REQUEST   8 May 19693. POSITION TITLE   Ops Officer4. GRADE   GS-136. EMPLOYEE'S EXT.   6815[] HDQS/TOY[x] OVERSEAS ASSIGNMENT[] ETOSTATIONBogotaTOY OR PCSPCSTYPE OF COVERStateNO. OF DEPENDENTS TO ACCOMPANYNO. OF DEPENDENTS' REPORTS OF MEDICAL HISTORY (SP 59) ATTACHED[x] RETURN FROM OVERSEASMEDICALLY QUALIFIED FOR PROPOSED OS PCS.STA9 June 1969STATION:BogotaNO. OF DEP'S9. REQUESTING OFFICERSIGNATUREPP MacDougallROOM NO. & BUILDINGSDS302 Hqs.EXT.681510. COMMENTS    Mr. Keenan will be in Washington TDY during the week of 9 June. He is then scheduled for home leave and return to Bogota for another two year tour. It is requested that arrangements be made for aphysical examination at Hqs. during the week of 9 June 1969. His family will have their physicals in Bogota.11. REPORT OF EVALUATIONDATESIGNATURE FOR CHIEF OF MEDICAL STAFFSECRET
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# SECRET(When Filled In)# REQUEST FOR MEDICAL EVALUATION1. NAME (Last, First, Middle)Koonan, Thomas John (Dependents of)5. OFFICE, DIVISION, BRANCHDDP/WH/CA2. POSITION TITLEOps Officer7. PURPOSE OF EVALUATIONNDOS/TOY**[XXX]** OVERSEAS ASSIGNMENT3. DATE OF REQUEST13 February 676. GRADEGS-129. EMPLOYEE'S EXT.6315PRE-EMPLOYMENTENTRANCE ON DUTYTOY STANDBYSPECIAL TRAININGANNUALRETURN TO DUTYATUMay 1967STATIONBogota, ColombiaTOY OR PCSPCSTYPE OF COVERStateNO. OF DEPENDENTS TO ACCOMPANYSeven (7)NO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY REQDSeven (7)RETURN FROM OVERSEASFITNESS FOR DUTYMEDICAL RETIREMENTI.T.A.STATIONNO. OF D's8. OVERSEAS PLANNING EVALUATION (One block must be checked)**[XXX]** YESNO9. REQUESTING OFFICERKenneth L. FasboldROOM NO. & BUILDING3 D 3309EXT.631510. COMMENTSForms 39 are attached. Please schedule during April 1967.Margaret Jane WifeMary Margaret Dau 6 Oct 57 Sheila Elizabeth Dau 19 Aug 61Kathleen Ann Dau 16 Sep 53 Patricia Jean Dau 11 Sep 62Thomas John, Jr. Son 19 May 60 Carol Jane Dau 7 May 6311. REPORT OF EVALUATIONMEDICAL ADVISORPROPOSED BYOPEN HANS SECRET
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SECRET1. NAME (Lost, First, Middle)Leonan, Thomas John4. OFFICE. DIVISION. BRANCH (or overseas station and existing cover if lateral assignment)DDP/WIL/CA7. PROPOSED STATIONBogota, Colombia9. TYPE OF COVER AT NEW STATIONState12. COMMENTSForm 86 is attached.2. DATE OF BIRTH29 June 19305. PRESENT POSITIONOps Officer8. PROPOSED POSITION (Title, Number, Grade)Ops Officer/0327/08-1310. ESTIMATED DATE OF DEPARTURE.May 19673. GRADEGS-126. EMPLOYEE EXTENSION681511. NO. OF DEPENDENTS TO ACCOMPANYSeven (7)13. DATE OF REQUEST13 February 6714. SIGNATURE OF REQUESTING OFFICIALKenneth L. Bambold15. ROOM NUMBER AND BUILDING 16. EXTENSION3 D 5393 681517. OFFICE OF MEDICAL SERVICES DISPOSITION18. OFFICE OF SECURITY DISPOSITION2 15 6719. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITIONREQUEST FOR PCS OVERSEAS EVALUATIONSECRET
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# SECRETREQUEST FOR MEDICAL EVALUATION1. NAME (Last, First, Middle)KEENAN, Thomas5. OFFICE, DIVISION, BRANCHDDP/WH2. POSITION TITLEOps Officer4. GRADEGS-127. PURPOSE OF EVALUATIONPRE-EMPLOYMENTHUDS/TOYENTRANCE ON DUTYOVERSEAS ASSIGNMENTTOY STANDBY Latin AmericaRTDSTATIONSPECIAL TRAININGTOY OR PCSTOYANNUALTYPE OF COVERStateRETURN TO DUTYNO. OF DEPENDENTS TO ACCOMPANYNO. OF DEPENDENTS' REPORTS OF MEDICAL HISTORY ATTACHEDRETURN FROM OVERSEASFITNESS FOR DUTYLTAMEDICAL RETIREMENTSTATION8. OVERSEAS PLANNING EVALUATIONYESNOSIGNATUREH.C.YarmisROOM NO. & BUILDING3053139. REQUESTING OFFICERDATE6-1510. COMMENTS11. REPORT OF EVALUATIONQUALIFIED FOR TOY STANDBY UNTIL Nov. 67REX HARDATESECRET
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SECRETREQUEST FOR MEDICAL EVALUATION2. NAME (Last, First, Middle)KEENAN, Thomas J.3. OFFICE, DIVISION, BRANCH   DDP/WH/PO1.  DATE OF REQUEST6 April 663. POSITION TITLEOpa Officer4. GRADE   OS-126. EMPLOYEE'S SAT.   78117. PURPOSE OF EVALUATIONMOOS/TOVOVERSEAS ASSIGNMENTETOTDY STANDBY Latin AmericaTDY OR PCSTDYTYPE OF COVERLt, StateNO. OF DEPENDENTS TO ACCOMPANY.NO. OF DEPENDENTS' REPORTS OF MEDICALHISTORY. (37 89) ATTACHEDRETURN FROM OVERSEASETASTATIONNO. OF DEP'S8. OVERSEAS PLANNING EVALUATIC (One black maal te cherkeitg)9. REQUESTING OFFICERSIGNATUREMary C. WernigBUILDING681510. COMMENTS11. REPORT OF EVALUATIONQUALIFIED FOR TOY STANDBYUNTILPETER ZROYKASECRET
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SECRET(When Filled In)# REQUEST FOR MEDICAL EVALUATION1. NAME (Last, First, Middle)   KEENEN, THOMAS J.3. OFFICE, DIVISION, BRANCH   DDP/WII/32. POSITION TITLE   OPS OFFICER4. GRADE   GS-126. EMPLOYEE'S EXT:7. PURPOSE OF EVALUATIONPRE-EMPLOYMENTOVERSEAS ASSIGNMENTENTRANCE ON DUTYETOΤΟΥ STANDBYSTATIONSPECIAL TRAININGTOT OR PCSANNUALTYPE OF COVERRETURN TO DUTYNO. OF DEPENDENTS TO ACCOMPANYNO. OF DEPENDENTS' REPORTS OF MEDICAL: HISTORY (SF 89) ATTACHEDRETURN FROM OVERSEASFITNESS FOR DUTYMEDICAL RETIREMENTETASTATION:MEXICO CITY, MEXICONO. OF DEP'S8. OVERSEAS PLANNING EVALUATION (One black must be checked)YES9. REQUESTING OFFICERNOSIGNATUREROOM NO. & BUILDINGEXT.1. DATE OF REQUEST   30 NOVEMBER 196410. COMMENTS18 AND 21 DEC. 0900 1245CLASSIFIED; FOR CURRENTPURPOSES11. REPORT OF EVALUATIONDATE12-29-64SIGNATURE FOR CHIEF OF MEDICAL STAFFFORM1-55259 EDITION.SECRET